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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
REY-I607 EX AFP Q2-131
INHERITANCE Tax DIVISION
Po BOX zadfiel STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 04-14-2014
ESTATE OF LEICHTE MEDA M
DATE OF DEATH 09-11-2012
FILE NUMBER 21 12-1094
COUNTY CUMBERLAND
SCHRACK III ESQWM D ACN 101
124 W HARRISBURG ST Amount Remitted
DILLSBURG PA 17019-1268
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS E--
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REV-1607 EX AFP C12-13) ■�* INHERITANCE TAX STATEMENT OF ACCOUNT �ItN
ESTATE OF;LEICHTE MEDA M FILE NO. : 21 12-1094 ACN: 101 DATE; 04-14-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-25-2014
PRINCIPAL TAX DUE: 6,585.76
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID n.7
DATE NUMBER INTEREST/PEN PAID
12-10-2012 CDO16909 329.29 10,000.0 q Fri
08-27-2013 REFUND .00 1,448.37IIh
02-18-2014 REFUND .00 4.0 Fes-. >1a —, c7
03-26-2014 REFUND ,00 2,291.1 7 M M..+
O O
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M
-v `i (n CD
TOTAL TAX PAYMENT 6,585.76
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. \�n